Der Unfallchirurg
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This article reports a case of medial dislocation of the talus as a rare injury caused by a fall from a low height. Treatment recommendations given in the literature for this rare injury are heterogeneous but closed reduction is predominant. ⋯ The known complications include posttraumatic arthritis and necrosis of the talus. A posttraumatic lesion of the tibial nerve has not been reported, which is why a treatment recommendation is illustrated and discussed based on this case report.
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There is no standard procedure regarding surgical treatment of multiligament knee injuries involving rupture of the posterior cruciate ligament. ⋯ The results of the two operation techniques were not significantly different. The arthroscopic approach is therefore regarded as the preferred method in this institute.
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This article presents the case of a traumatic avulsion of the extensor carpi radialis longus et brevis tendons with avulsion fracture at the base of the third metacarpal bone. Surgery as soon as possible is recommended in order to avoid retraction of the tendon.
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Depressed fractures of the base of the middle phalanges are problematic because of frequent subluxations and centrally depressed fragments. There are two minimally invasive procedures available: 1) the less known intramedullary padding technique according to Hintringer and 2) the widely used distraction fixator of Suzuki. This article describes the technique and outcome of these two procedures. ⋯ The intramedullary padding technique according to Hintringer enables good treatment of depressed fractures of the base of the middle phalanx of the finger. Repositioning of dorsal subluxations can be performed and centrally impressed fragments can be reduced better than by using the Suzuki dynamic fixator. In addition, the radiological course assessments can be assessed better than with the distraction fixator.